DR. JACK L BRICKNER DDS
NPI 1215086566
Dentist - General Practice in Appleton, WI

Q: What is Jack Brickner's NPI number?

The NPI number for Jack Brickner is 1215086566. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Jack Brickner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack Brickner was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 09, 2007

5553 WATERFORD LN, APPLETON, WI 54913(920) 739-7165 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack L Brickner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK L BRICKNER DDS (NPI 1215086566) is an individual general practice provider in Appleton, Wisconsin, licensed in Wisconsin (5001371G) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1215086566

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK L BRICKNERCredential: DDS

Location Address5553 WATERFORD LNAppleton, WI 54913-8468

Mailing Address4540 Algonquin TrlGreen Bay, WI 54313-9527

Phone(920) 739-7165

Sole ProprietorYes

Enumeration DateJanuary 9, 2007

Last NPPES UpdateJanuary 15, 2009

✔ NPI 1215086566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 5001371G

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5553 WATERFORD LN, Appleton, WI 54913

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS EUGENE JENNINGS DDS

Dentist (Prosthodontics)

5553 WATERFORD LN
APPLETON, WI 54913

Outagamie County (920) 739-7165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Brickner's NPI number?

The NPI number for Jack Brickner is 1215086566. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Jack Brickner located?

Jack Brickner practices at 5553 Waterford Ln, Appleton, WI 54913. The listed phone number is (920) 739-7165.

What is Jack Brickner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jack Brickner was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.